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HomeMy WebLinkAboutPemberton, Dorothy - 460 (09-24-23 thru 10-21-23)_RedactedRecipient Committee Campaign Statement Cover Page Pate Stamp i COVER PAGE' Statement covers period Date of election if applicable; Page _ of d` (Month„ Day, rear) r, For Official Use Orrlyr from= Q s SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees- CompleU Parts 1„2. 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement � � �+ .-� State Candidate Election Committee Committee Berm -annual Statement [7 5peclal Qdd-Year 12eport Recall Controlled Termination Statement lion m efoPatt5) Sponsored (Also file a Form 410 Termination) )AirsaCatroereFad, 5,11 Amendment (Explain below) General Purpose Committee Sponsored Primarily Formed Candidates Small Contributor Committee Officeholder; Committee Political Party/Central Committee IA'soC.mpxgM Parr71 . Committee information Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ­D6a)-ti Fel-,ry�bcdon,-�r /no h 1 &A-� MTY STATE MP COD STATE ZIP CODE ' ' } ' NAIv1E OF ,ASSIS ANT TREASURER, I ANY ' f MAILING ADDRESS (IF DIFFERENT) NO, AND, 'TREET OR R— eCAX CITY STATE ZIP CODE AREACODEIPHON@ OPTIONAL: FAX 1E-MAIL ADDRESS OPTIONAL FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of m knowled e the information contained herein and in the attached sohadules is true and Complete. I certify under penalty of perjury under the laws of the State of California that the foregoin Executed on & Dat C2 � Ole� By Exeutd an Cate I I^era 'pansas Executers on By Date nr Executed on By Date S�rrakure rP Controlling Otiir.o>'alder; C:arKRivia€e Stale Measure Frcappn€rsn9 F PC form 460 (Ian/2016)) FPPC advice. advice@fppc,ca ov (866/27S-3772) 0 1 a 0 11 It I * Uwat-11WItla Fl� gia L*0MjUg=:FrjtW. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CAPDATE -- ,D 6 ro --f 6mber �riy) OFRCE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) o tu n tv C4wn e-4 — A-s�76c-L 2 I 61A 9014LI-11 Related Committees Not Included in this Statement: Listany committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behadot your candidacy. CITY STATE ZIP CODE AREA CODEIPHONE NAME OF TREASURER CONTROLLER COMMITTEE? [I YES [I NO CITY STATE ZIP CODE AREA CODEtPHONF COVER PAGE - PART 2 I& Page . - of . 1110011!!11111-1,11111 911111:11111111111111l F7 -111r 11 1111111Ell! W, d IS: I- it T .1 ir 01 BALLOT NO, OR LETTER I JURISDICTION Identft the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD MINPARNW-11,4911 MMON. DI$TRfCT NO, IFANY riluff 5filawpWiffoTUffrim NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT El OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT I OPPOSE Attach continuation shoots ff necessary FPPC Form 460 (Jan/2016) FPPC Advice. advice@fppc,ca.gov (866/275-3772) www.fppc,ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement �covers period ta from ` - ,i r through f 0 ' d A-3 Page -? of /Q NAME OF FILER I.D. NUMBER bof-o+h�1 4rnbeen A r 6owney et 4y dun c r l ZvZ3 1145 1 Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 3 -15-0r 60 1. Monetary Contributions .................... Schedule A, Line 3 $ `Y' o J 2. Loans Received. ........ ............................................... Schedule B, Line 3 i I) , 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 (, 0 $ 7� 7��� 4. Nonmonetary Contributions ............................................ schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED.. .................. ........... Add Lines 3 + 4 $ I/'��� Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 �i ? 06 $ M, -2 3, 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ....................................... AddLines6+7 $ 050160 9. Accrued Expenses (Unpaid Bills) . ........... ........... --- ............. Schedule F Line 3 D 10. Nonmonetary Adjustment ................. ............................ 11. TOTAL EXPENDITURES MADE ............. .................... --- ...... Schedule C, Line 3 ... Add Lines s+9+10 $ l �i. 3L�3 , cad Current Cash Statement 0 12. Beginning Cash Balance... ......................... Previous Summary Page, Line 16 $ U; 1?16 -f 13. Cash Receipts........................................................... Column A, Line 3 above 7, 16-0,p0 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 V 15. Cash Payments......................................................... Column A, Line 8 above /ao 3 5'6, o 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $%/ °Z'' eld If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED... .... — ...................... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above Column B CALENDAR YEAR TOTAL TO DATE $ oil&54," 6) 60 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1i1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21 Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A SEE INSTRUCTIONS ON REVERSE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IIF COMMITTrE, ALSO LN-FER LD, NUMBER) I e e ri CJ Ale,/' / 12 E IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, EWER NAME Of BUSINE88) IND ■ COM OTH PTY SCC ZIND P. D com El OTH PTY SCC XIND El com El OTH EJ FTY El SCC red §16119NEWIMM Statement covers period CALIFORNIA from .29 . -.Z3 FORM through _A2 Page of W. NUMBER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAW I - DEC, 31) (IF REQUIRED) 100 0 OIL Schedule A Summary *Contributor Codes 1. Amount received this period — itemized monetary contributions. INCH- Individual ()nclude all Schedule A subtotals.) .......................... ........ ...... .................................. $ COM - Recipient Committee (other than PTY or SCC) OTH -Other (e,g., business entity) 2. Amount received this period — unitemized monetary contributions of less than $100 .... ................ - .... $ FATS'-. Political Party $CC - Small Contributor Committee 3. Total monetary contributions received this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1,) ... ...... JOTAL $ 3F 1501 FPPC Form 460 (Jan/2016)) FPPC Advice. advice@fppc.ca.gov (M/275-3772) www.fppc.c.a.gov A =a- �sMJIMF 16-1102TW711 !is M DATE RECEIVED � 0'7' 2 LIJj Amounts may be rounded to whole dollars. Statement covers period frOtt .2J FALL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CONTRIBUIOR sr OCCUPA71ON AND EMPLOYER (IP2 SELF-eMPLOYFO, ENTER NAME) RECEIVED THIS ff COMMITTEE, ALSO ENTER LD, NUMBER) OF BUSINESS) PERIOD . .......... ... .... .... ...... ............. .. .. . .. . .. . . . ....... A El COM OTH PTY SCC IND El COM OTH P'ry El SCC I 11211 OIND El COM El OTH El PTY SCC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e,g,, business entity) PTY - Polftical Party SCC -Small Contributor Committee q 4110 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (dAN, I - DEC� 31) (IF REQUIRED) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Statement covers period CALIFORNIA 460ft, from A —­2 FORM through FULL NAME, STREET ADDRESS AND ZIP CODE OF �I(FNVIDUAL,ENTMULTIVE O CUPATION AND EMPLOYER (WSELF-EMP10YED, EWER NAME) RECEIVEDTHIS CALENDAR YEAIII R TO DATE OF COMMITTEE, ALSO ENTER W. NUMBER) OF S=NrSS) PERIOD (JAN. I - DEC. 31) (IF REQUIRED) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . El IND 0 Com KOTH EJ PTY INN Coo PTY SCC El IND Com 0 'I'H F-1 PTY 0 SCC DIND com OTH PTY D SCC I *Contdbutor Codes INN — Individual COO — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — SmaH Contributor Committee SUBTOTAL$ <5W, FPPC Form 460 (Ian /2016)) FPPIC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.ca.gov 9-9x SEE INSTRUCTIONS ON REVERSE Statement covers period CALIFORNIA from FORM through 167-;),1- 0 LD, NUMBER NAME OF FILER 916 NOR, I 9-9m FULL NAME, STREETADDRESS AND ZIP CODE OF LEND�R IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE (b) AMOUNT AMOUNT PAID RECEIVED THIS; OR FORGIVEN OUTSTANDING BALANCE AT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) ff SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD- CLOSE OF 11115 PERIOD co try -a PAID gW Pe4k —0 F-1 FORGIVEN (MA 0, tF1 IND 1­1 GQM�F] OTH El PTY [01 SCC DATE DUE tEl IND [3 COM Ll OTH U PT'Y El SOC t El IND [3 COM [I OTH Dh PTY El SCC I 1' $ RATE PER ELECTIOIr a:va _30_ DATE INCURRED PAID RATE Ll FORGIVEN PER ELECTION- $ $ DATE DUE DATE INCURRED El PAID CALENDAR YEAR $ RATE El FORGIVEN PER ELECTION" DATE DUE DATE INCURRED SUBTOTAL$ $ $ $ Schedule B Summary 1. Loans received this period ........................................ ...... ____ ................. .,....,..........$ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period .................... ....... ................... ......... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) $ 60 3. Net change this period. (Subtract Line 2 from Line 1 ....... .... ___ .... .................... ____ ... NET Enter the net here and on the Summary Page, Column A, Line 2. (May ba'a nogafiva wmbor) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required, on tContributci Codes IND — Individual COM — Recipient Committee (other than PTY or SC,C) OTH — Other (e.g., business entity) PTY -- Political Party SCC — Small Contributor Committee FPPC Forrin 460 (Jan/2016)) FPPC Advice: advice@fppr..ca.gov (866/275-3772) www,fppc.ca.gov Schedule E Amounts may be rounded Payments Made to whole dollars. ON REVERSE periodStatement covers o through _ �' °� 1 Page " . of ' NAME OF, FILER. ore 'r �,r�. rwumotm -4" 1 CODES:: If one of the foliowling codes accurately describes the payment„ you may enter the code. Otherwise, describe the. payment. CMP campaign parpphernalialmisc. ]b+BR member communications R,AD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)" OFC office expenses SAL campaign coworkers' salaries CVC civic donations PET petition circulating TEL t,v. of cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks T tC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staffispouse travel, lodging, and meals IND independent expenditure support! nglop posing ethers (explain)* POS postage, delivery and messenger services T F transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings. PR7 print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE' (IF COMMITTEE, ALSO ENTER W, NUMBER) V CODE OR DESCRIPTION OF PAYMENT t-htaG d-AX * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)... ......... `. Uniterni.zed payments made this period of tinder 1 C7il,,.....,, ......... ........., .... . . Total interest paid this period on leans. (Enter amount from Schedule B„ Part 1, Column (e).)............ ..,....,. ............................. .m.,... 4. Total payments made this period, (Add Lines 1, 2, and 3. Enter here and on the Summary Pa, Column A, Line .)........................... '[°4TiPrl.. FPPC Form 4 (jan/2016))` FPPCAdvice.. advice fppc,c , ov (866/275-3772); www.fppcica.gov SCHEDULE E ( 0 Schedule E Amounts may be rounded C (Continuation Sheet) to whole dollars. statement covers period CALIFORNIA 461 Payments Made FORM SEE INSTRUCTIONS ON REVERSE through J0 of aj 7 1 0 1 IRMA CODE OR DESCRIPTION OF PAYMENT r Y"/W, �/, M Payments that are contributions or independent expenditures must also be summarized on Schedule D. V Ph o J-j r4 p y S FPPC Advice: ad M Schedule E Amounts may be rounded CHEDULE ( ONT) SCHEDULE Sheen to whole dollars. I 1at�rr�nf covers period(Continuation CALIFORNIA ,J 6 1> Payments ode O RM from C through. + � ` A SEE INSTRUCTIONS ON REVERSE Page of talE OF FILER I.D. NUMBER CODES: If one of the following cedes accurately describes the payment you may enter the code. Otherwise, describe the payment. P campaign paraphernaliafmisc. MBR member communications RAD radio airtime and production casts CNS campaign consultants MTG meetings and appearances € FD returned contribattiens TE contribution (explain nonmonetary)* +AFC office expenses SAL campaign workers'salarles CVC civic donations PET petition circulating TEL t.v.. or cable airtime and production costs FtL candidate filing/ballot fees PHO phone banks TRG candidate travel, lodging, and meals FND fundraising events POL polling and survey research, TRS stafflspouse travel, lodging, and meals lND independent expenditure supporting#opposing others (explain)* PGS postage, delivery and messenger services T F transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB Information technology costs (internet, e-mail) NAME ANDADDREa OF PAYE ff COMMITTEE ALSO ENTER 1.10, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID L 6•"}y er 41)4 r1616)00 r Downey, CA 90;L3Y P C le -ell Is *C1MrDe_k l+ Fe e-T : et Payments that are contributions or independent expenditures must also be summarized on 'Schedule G. SUBTOTAL. $ �CO m� w. FPPC Foryn 46 (l�rri 2U16)� FPPC Advice advke fppc.r . vv (866/ 7S-37x2)' www.fppr—ca.gov